| NPI | 1265978852 |
|---|---|
| Doing Business As | EYE CENTER BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | FRANCIS D MEDINA Owner/Vicepresident 787-782-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 156FX1800X Technician/Technologist, Optician (Licence: PR 1211) | |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2019-02-19 |